Medical worker in safety glasses, mask and suit makes a heart sign

Helping the Helpers

A Message from our Therapist Mandi for First Responders, Medical Professionals and Front-Line Workers: 

The Coronavirus (COVID-19) has impacted our society and community greatly. The stress for first responders is intense; there are increases in restrictions and more complex risk factors. Many first responders start their shifts feeling concern for their health and safety, for co-workers, families and loved ones. Loved ones feel anxious each time you leave to take care of others and do your job.

Mandi C. Dalicandro-Turk

As a therapist, I enjoy working with first responders. I am compassionate and understanding of your
complex needs and experiences, and create a comfortable, supportive therapeutic environment. Working
through difficult experiences in both your professional and personal life is critical to your overall health and wellness, and guards from the stressors and impact of spillover.

This is difficult to navigate alone. I will listen to your experiences through conversation in a safe and relaxed therapeutic environment, and help you navigate your feelings towards healing, wellness, and experiencing a better quality life .

I have over 7 years experience helping adults, couples, adolescents, first responders, medical professionals, and academics. I feel strongly that human-beings benefit from the experiences of learning, growing, and developing through each stage of life.

My areas of focus are: Anxiety, Depression, Chronic Stress, Relationship Issues, Life Transitions, Self-Esteem and Confidence, Autoimmune Issues, Critical Incidents, PTSD, Trauma, Infidelity, Divorce, Loss of Connection, Break Up Recovery, Developing a Strong Authentic Identity, Parenting, Burnout, Grief and Loss.

As an adjunct professor, I teach courses focusing on psychology, research, human development, leadership, motivation, genetics, and stress. Additionally, I volunteer for a Critical Incident Stress Management Team that assists public safety personnel after the experience of a critical incident. Among my latest projects, I am focusing on research related to clinical levels of stress, vicarious trauma, and compassion fatigue. I also create the curriculum for seminars and continuing education. I earned my Bachelor’s degree in Psychology summa cum laude and Master’s degree in Professional Counseling from Carlow University.

Visit with me me today at eTalkTherapy.com to schedule your first appointment or free consultation. I hope to work with you soon.

 

Hand hygiene. Person in the bathroom is cleaning and washing hands with soap

Anxiety, Stress, Social Distancing, & Healthy Control

By Mandi C. Dalicandro-Turk MSPC, NCC

Anxiety, frustration, change, and uncertainty are a realistic and at times, a stressful part of life that humans grapple with. Currently, society as a whole is in a pandemic with many feeling highly anxious, fearful, and uncertain of the Coronavirus (COVID-19) and the long-term impact on society, the economy, loved ones, and the outcomes of overall health and wellness. It’s natural to have fear and anxiety of the unknown; to feel your healthy controls are being taxed and possibly becoming depleted.

During this time of uncertainty in the weeks to follow, there are ways to feel reasonably prepared while decreasing stress, anxiety, and worry.

Consider the following:

Grappling with Anxiety & Stress

For those experiencing anxiety, that have anxiety disorders, and/or a predisposition to stress, the fear and worry about the health and wellness of you and your loved ones, the economy, finances, having essential medications and supplies over the next few weeks or longer can feel overwhelming for some. Others are frustrated with feeling society is over preparing. Most are hoping for a level of preparedness and a positive outcome without mass hysteria.

During times of chaos and confusion, many seek out information from the news, social media, and other sources. It’s important to stay informed, it’s also vital to find good information based on statistics, data, and facts. Choosing how much to engage in information and when to disengage (put your phone down) assists with lowering feelings of uncertainty, of being out of control, and catastrophizing what is happening in the world around you. It’s normal to feel a sense of uneasiness, vulnerability, anger, confusion, and cognitive dissonance about the future.

It can be stressful for families and for parents to know how to talk with children about what’s happening. Being open, honest, and factual is important on an age appropriate level.  In addition, it’s important to balance your own fears during conversations and to do your best to monitor your own anxiety, anger, and stress to keep from instilling an unnecessary foundation of anxiety in children to potentially grapple with. It’s an opportunity to open a dialogue for critical thinking about individual feelings, values, the meaning of exploring those feelings moving forward, and how a person can learn and grow from what is happening.

It’s natural to feel the physiological and psychological impact of anxiety, it’s a protective mechanism; the fight or flight response in humans and animals. However, it’s what you do with the anxiety and stress you’re experiencing. Check in with yourself on how intense your feelings are, how long symptoms are lasting, and how your daily life is impacted. Implementing realistic expectations, allowing for flexibility, tapping into positive coping, tolerating frustration, and adapting for what is within your healthy controls day to day can help with lowering symptoms and the long-term impact. It’s beneficial to spend time in the present moments, practice gratitude, and enjoy yourself as much as realistically possible.

Social Distancing

Social distancing puts individuals at risk for social isolation; especially when depression, anxiety, stress, and other mental health issues are present.  It’s important to have awareness of the differences between social distancing and social isolation by checking in with yourself on how you’re feeling day to day. Consider what activities you’re engaging in or not doing at all. This is a good opportunity to carve out time to rebuild a relationship with yourself, reflect on what’s important, watch the sunrise or sunset, and connect with family and friends via phone, social media, or through email. Getting back to basics can feel healing and reaffirming; especially when focusing on significant and already established relationships. Make family time fun by keeping it simple. Hopefully, this is a time for children, adolescents, and adults to take a break from the high stress and pressures of a few daily responsibilities and obligations.

With that being said, if you’re in a stressful situation at home whether it’s due to a strained relationship with your partner or feeling overwhelmed by stress and responsibilities, take time away to rebalance. Consider listening to music, going for a walk or run, spend time with your furry friends, laugh and enjoy yourself, and do your best to focus on who and what you do have in the present moment, which includes your relationship with yourself. Check out online options in your community for working out, yoga, supports, and keeping up with physical and mental health. Focus on your strengths, tap into your supports, and treat yourself with compassion.

Healthy Controls

It’s beneficial to be present and work within what is in your healthy controls. Healthy control is different than attempting to control uncontrollable factors and attempting to control those around you in unhealthy and damaging ways. Healthy control is an internal sense of strength, presence, and balance. It’s trusting yourself and valuing where you are, what you’re feeling, and what is best in moving forward. Therefore, it’s making decisions that work well for you and your loved ones in ethical and healthy manners. Putting life in perspective, having a level of preparedness, and moving forward from there realistically.

Allowing some time to decompress and enjoying time with those in your shared environment as much as possible is within the realm of healthy control.  Check in with yourself and your loved ones; if your mental health or your loved one’s mental health is suffering and/or you or a loved one is struggling, feeling overwhelmed, and need to talk, reach out for support. Therapy where you’re meeting face-to-face online through a HIPAA secure site from the comfort of your own home is a safe, healthy, confidential, and convenient way to work with a therapist and to begin the healing process.

In conclusion, find ways you can feel content, ways you can help yourself feel balanced, and reasonably safe without adding undue stress, anxiety, and social isolation. Do your best to plan in realistic areas and to take one day at a time when planning isn’t possible. Consider where your information is from, look for statistics and data to assist with keeping anxiety and the stress of the unknown as low as possible.  There are many opportunities for self-reflection, growth, connecting with loved ones, and to engage in healthy and beneficial ways. Seek out the support of an online therapist if you’re feeling overwhelmed; even in the midst of a pandemic you can get the help you need. It’s important to treat yourself well, with compassion, and to check in on how you’re feeling.

Keep first responders, medical professionals, and individuals at increased risk for direct exposure in your thoughts, and individuals with higher risk for complications too. It’s important to come together as a community in safe and healthy ways to increase feelings of belonging and to decrease anxiety, stress, fear, and social isolation.

Stay safe, healthy, and well!

Learn, grow, & enjoy,
Mandi

***

MandiTurk[1]Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.

Feet in Christmas socks near fireplace

Navigating the Holidays

by Mandi C. Dalicandro-Turk

During the holiday season, images of a crisp snow covered lane, with the view into the frosted window of a warm and cozy home, the scene of a blazing fire, a long decorative table filled with scrumptious holiday delights, and loved one’s surrounding the table brings feelings of dissonance for many. The holidays absolutely have the potential to bring feelings of intimate experiences filled with belonging, exhilaration, sharing, and gathering with loved ones. For many, however, there are increases in stress, anxiety, depression, feelings of loneliness, difficulties with grieving and loss, conflict, and contemplation.

There is meaning to the ornaments being unboxed, the candles lit, and the years, many times, decades of tradition. There are customs leading up to the season, feelings of anticipation, significance to the day(s) of celebration, and the letdown after everything is put away.

Mental Health Issues Exasperated
During the holidays, mental health, behavioral health, medical issues, and autoimmune issues that individuals grapple with each day have the potential to become exasperated and contribute to increased symptoms, stress, and feelings of exhaustion. For many, it’s extremely difficult to navigate through increases in symptoms and difficulties with coping. Many times, individuals’ cope with negative coping mechanisms (i.e., alcohol, unhealthy eating habits, lowered self-care, and/or misuse of medications).

Consider individuals grappling with Generalized Anxiety Disorder (GAD), “Twelve month prevalence of GAD is .9% among adolescents and 2.9% among adults in the general community of the United States” (American Psychiatric Association, p. 223, 2013). Individuals have the potential to experience symptom increases (i.e., difficulty concentrating, irritability, difficulties controlling worry, levels of fatigue, muscle tension, and issues with sleep), which complicates discomfort and difficulty in managing symptoms (American Psychiatric Association, p. 222, 2013).

Additionally, individuals contending with Social Anxiety Disorder (SAD) grapple with an array of symptoms (i.e., fear of negative evaluation, being humiliated, and/or rejected), many times, avoiding social situations (American Psychiatric Association, p. 202, 2013). During the holidays, it’s difficult to avoid all social situations and associated symptom increases.

Furthermore, consider the significant impact and issues with functioning associated with Major Depressive Disorder (MDD), “Twelve month prevalence of major depressive disorder is approximately 7%, with marked differences by age group” (American Psychiatric Association, p. 165, 2013). Symptom increases (i.e., feelings of sadness, hopelessness, minimal interest and pleasure, fatigue, feelings of worthlessness, diminished concentration, and issues with sleep) complicate already difficult daily functioning and increase the probability of grappling with each facet of holiday obligation and interactions.

Conceptualize the experience of comorbidity of GAD, SAD, and/or MDD with or without substance use (and/or any mental health diagnosis) and its associated symptoms, with the presence of holiday stress, pressures, and the impact physiologically and psychologically. It’s best to seek out therapy prior to the holidays to develop positive coping strategies, realistic expectations, awareness to pressures, work through increases in symptoms, and to decrease the probability of underlying issues being triggered.

Engaging and Balancing Conflict — Differing Views vs. Differing Values
Some families benefit from closeness and healthy working dynamics. However, even when this is present in the environment, there is potential for conflict and tension during high pressure and high stress times; including desirable ones during the holidays.

Inevitably, there will be internal triggers experienced when engaging with others, which has potential to feel agonizing. In this environment, develop awareness to balance what degree of engagement feels healthier. At times, lighter conversations will assist in minimizing triggers. In the event, stress and discomfort become too overwhelming to engage, take a few moments to walk outside for some air. Take a few deep breaths and allow the increases in oxygen to balance parasympathetic response, and increase oxygen to the brain to assist with feelings of relaxation, (Wolford, p. 2, 2015). Furthermore, spend time with younger family members; if this is enjoyable. Children and adolescents have potential to bring a different perspective and magic to the holiday, which increases fun and increases relaxation.

Additionally, avoid family conflict. There are two primary areas of focus. First, refrain from engagement, debate, and argument regarding issues of contention between family members and/or friends in general, and where estrangement is present. At times, there may be pressure to choose sides. There is psychological benefit in refraining from choosing sides, treating each person with respect, and engaging with each person individually, if necessary. Reflect prior to being in the shared environment on personal values and feelings regarding the dynamics surrounding conflict. The cognitive process of reflection has potential to increase levels of confidence to support disengagement in the conflict, while dually engaging with others in regards to the positive aspects of relationships and holiday gatherings. This will lower stress, and minimize increases in mental health symptoms.

Lastly, it’s reasonable to have different views; it’s a driving factor of being human. Many times, human’s enjoy debating these views. There is a level of cognitive stimulation, fun, and strategy involved. With this being said, individuals must consider individual motivations, and how each message is given and received. There are distinct differences in the motivations of debating in positive banter with loved one’s out of pleasure, mutual understanding, and respect, even with the presence of opposing views and/or a heated discussion. Equally, it’s beneficial to refrain from debating in negative, critical manners with a family member and/or friend of differing values where high tensions are present. During holiday gatherings, consider each individual relationship, underlying motivations, and feelings. When tensions are high and values are vastly opposing, different views have opportunity to be debated at another time. In this situation, it’s best to refrain during holiday gatherings. However, in a cohesive and healthy environment, enjoy the banter. Individuals possess varying levels of impulse control. Develop awareness of strengths in impulse control, areas of grappling, and the resulting behaviors of each; then, gauge the best course of action accordingly. In each interaction, engage with respect and graciousness.

Loneliness, Isolation, Grief, and Change
At times, there are shifts in family, friends, supports, and a sense of community. Death, illness, and/or divorce are difficult to navigate through in daily life, and exhausting during the holidays. New traditions that have yet to be created and resistance to shifts in traditions that are no longer possible are common. For divorced partners with children, there are the adjustments for each in regards to splitting time. In the most amicable situations where partners remain respectful and possibly friendly, difficulties, stress, grief, and negative feelings have potential to arise during the holidays. Negotiating for wellness of each individual involved is imperative to maintaining balance and decreasing the probability of future issues.

The loss and associated grieving of a deceased loved one is an excruciating and extensive process. Many times, significant changes to meaningful traditions are a painful reality. Developing awareness that grief will resurface intermittently, many times over, and during meaningful interactions is imperative. Finding ways to honor the deceased loved one will assist with holding on to the meaning of significant traditions, and decrease feelings of isolation and loneliness; including traditions that will inevitably change over time. Grieving is an individual process, the time frame varies from person to person, and is based on the significance of the relationship. It is vital to develop self-compassion and to seek out supports.

Preventative measures
Start with being honest about limits physically, mentally, and emotionally. When there are children in the home, balance spending time with children, and with family and friends. Schedule visits on days close to the holiday celebration instead of over committing in one day. This will increase enjoyment of holiday events and decrease feelings of obligation, and potentially, resentment. Additionally, the gatherings may become a tradition and special day to look forward to for each individual involved.

Reflect honestly
Many times, thoughts, feelings, and ruminations in regards to family dynamics, divorce, death, estranged relationships, and the focus of seemingly endless obligations increase stress, anxiety, and/ or depressive symptoms. It becomes overwhelming for individuals and difficult to balance. Most times, it is beneficial to ask for help, which has the potential to reduce stress and increases the capacities to function well throughout the holidays.

Having awareness that there will be stress assists in setting realistic expectations. Many times, a few simple changes will allow flexibility, while dually honoring traditions (i.e., cooking the meal in advance, offering for each person to choose a dish to bring, setting boundaries to time spent at each gathering, and/or planning finances and budgets a year or more prior). At times, the more an individual attempts to take on without assistance or planning, the more emotional and psychological difficulties are experienced, creating an exasperation of mental health, behavior health, and/or medical issues.

Balancing Obligations and Desirable Engagements
Balance obligations and spending time with loved ones; especially, loved ones with a significant role in life. Plan each day by writing each event, commitment, obligation, and list of items needing completed in a planner. While doing this, implement a block of free time to decompress, and to balance unexpected shifts and obligations along the way. Each will reduce stress and assist in balancing emotions, energy, and mental health. Consider taking vacation and/or personal days if they are available and will not contribute to more stress at another time of the year. Doing so will allow for balancing commitments, downtime, and increase the opportunity to decompress after the holiday.

Continue nutritional habits (refrain from inflammation supporting foods), regular exercise, activities, and incorporating healthy sleep cycles. For long trips, bring snacks and water. In addition, when offered to stay with family and/or friends, consider personal comfort. For example, if one partner feels uncomfortable due to personalities, temperament, family dynamics, and/or if children get tired and need rest, consider staying at a hotel for the night. Make it fun for the family and have awareness of individual feelings, thought processes, and how daily function is potentially impacted. When setting boundaries, be kind, gracious, and genuine. Avoid using children as an excuse – be accountable for individual feelings, emotions, comfort, values, setting boundaries, avoiding “ the shoulds,” and saying no when necessary.

When the Ornaments Are Boxed
After the ornaments are put away, and daily life moves forward, it’s important to consider what to do with unprocessed feelings and emotions, and the grief and loss of the passing season. Begin to navigate the cognitive steps towards healing by seeking out the support of family, friends, community, and a therapeutic relationship. Focusing on gratitude (what is present over what is void), resuming daily activities, and seeking out strong supports assists with this process greatly.

In conclusion, the holidays are layered with complex emotions and meaning; simultaneously filled with the potential to grapple with increased symptoms of mental health and medical issues, stress, loneliness, and the innate desire to connect, share, give, and experience intimate feelings of belonging. Consider the benefits to being mindful that each person’s life experiences, environment, genetic predisposition, personality, temperament, supports, family and friends, and dynamics are different. Ultimately, develop awareness and engage realistically regarding the pleasures and difficulties associated with the holidays – allow for positive interactions to happen organically towards a more genuine and enjoyable experience. 

References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Benson, H. 1979. The Mind/Body Effect. New York: Simon and Schuster.
Benson, H., & Klipper, M. Z. (2000). The Relaxation Response. New York: William Morrow.
Wolford, K. (2015). Relaxation response: Herbert Benson. Salem Press Encyclopedia of Health.

***

Mandi is a therapist with over 6 years experience working with adults, couples, older adults, adolescents, and first responders. Mandi works with an array of issues, and is passionate about supporting others. She feels strongly that human-beings benefit from the experiences of learning, growing, and developing throughout each stage of life.

Friendship

Part 6: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC, NCC

 A Series of Articles: 6 of 6 – The ‘You’ Factor in Developing Quality Relationships

This series is focused on developing quality relationships. Article 6 of 6 focuses on you, your identity, and your role in developing quality relationships.

How well do you know yourself?

Knowing yourself, the deeper meaning of who you are, and how to apply each to building and nurturing the quality of life you desire is a long-term and at times, difficult process. It takes work, vulnerability, comfort with you as a whole, with each of your facets, and strength. Learning about yourself (i.e., what you enjoy, dislike, how you plan, your work ethic, preferences for physical and emotional intimacy, desires, fears, anxieties, coping style, what you grapple with, and how you engage in relationships) is a key factor in the process of honoring who you are as a human.  Each impact you as a human, and how you engage in relationships. In addition, knowing your identity on a fundamental level assists in navigating the smooth, bumpy, and at times, roaring waters of a relationship.

Developing a deep understanding and commitment to who you are (and aren’t) as a person increases life satisfaction.  In addition, having a stable identity increases the probability of partnering with a person that is more compatible with you.  It’s human nature to desire connection with your partner, independence, interdependence, enjoyment of time together, a level of contentment, safety, and to feel fundamentally on the same page. At times, this is difficult to navigate; especially when negotiating through life, family, morals and values, goals, growth, change, and difficult times.

Part of knowing who you are is developing a strong sense of the following:

Consider the significance of each for you as an individual, and how each positively and negatively impact your relationship.

  1. What do you enjoy, what are your daily habits, and how does each impact your quality of life?

Consider how this supports you, your goals, and what this means for you in a relationship.

  1. What are your educational and career goals? How does this impact you in a relationship long-term?

Consider your goals educationally and professionally.  Then consider how this works with a long-term relationship and decisions on family.

  1. How often do you prefer to have physical intimacy in a relationship? What are you open to sexually? What boundaries will you set?

In addition, consider:  Whether or not your partner has similar preferences, and how to navigate differences in healthy ways.

The above takes time, a healthy self-disclosure-trust ratio (at your personal comfort and pace), vulnerability, healthy boundaries, and openness, as well as, respect. Have fun with it, if and when you decide it’s right for you.

  1. What is your comfort with emotional intimacy?

Consider your comfort with sharing the depth of your emotions and receiving your partners, eye contact, verbal affirmations, and how you express, feel, and give love and support. In addition, explore the meaning of giving and receiving of each in your relationship.

  1. What do you desire for yourself and in a relationship? Is this realistic long-term?

Developing realistic expectations for yourself, for your partner, and the relationship as a whole takes work and exploration. In addition, consider your approach to growth and change throughout long-term relationships.

  1. Check in on mental health.

Consider what you grapple with, how this impacts the ways you engage that may support and/or hinder progress as an individual and in relationships.

Consider how each affects communication styles, mental health, and attachments.

When issues are spilling-over and decreasing your quality of life and/or lowering life satisfaction- be kind to yourself and seek out support.

  1. Honoring yourself and your identity.

Explore what supports and strengthens you and your wellness as a whole person.  Then consider how to implement self-support and honor into your relationship with yourself and with your partner.

  1. Create and implement healthy boundaries.

Whether you’re repressing aspects of who you are, if you’re still figuring out your identity, or if you’ve given yourself permission to explore and honor who you are, you’re still you. Honor who you are by creating healthy boundaries and do so with integrity, respect, by being ethical, and doing no harm to others. Be humble, build awareness of your strength, and implement balance.

At times, it’s difficult to know what healthy boundaries are. The support of a therapist will assist you in identifying and implementing healthy boundaries that honor you as a human.  

  1. Do a self inventory.

Check in with how you’re treating yourself.  Are you treating yourself with kindness and self-compassion, engaging in self-care, honoring your identity, and checking in with how you feel?

Give yourself permission to take inventory of your relationship, your feelings, and the significance of each in your life. 

  1. Have fun in the process.

Engaging in fun is healthy for your brain, for you psychologically and physiologically, it lowers stress, and supports a sense of life balance.  You’ll feel refreshed and more ready to take on what’s important to you each day.

Learning and developing who you are (and aren’t) as a human supports you, your life goals, and allows for you to spend time with yourself in more enjoyable and authentic ways. You’ll feel more whole, more confident, more comfortable in your choices, and you’ll enjoy your relationships more.  With that being said, if you’re not there yet, give yourself permission to explore and uncover who you are in healthy ways- it will nurture and strengthen you as a whole human and each of your facets too 🙂

In conclusion, this series of articles was designed to give you insight into communication, respect, appreciation, attachment, relationships, and in giving yourself permission to develop and honor your identity moving forward. Relationships are work, including the one with yourself.  You’re worth the time, energy, and dedication it takes towards a healthier more satisfying life, identity, and in developing quality relationships.

Learn, grow, & enjoy,
Mandi

***

MandiTurk[1]Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.

Two women friends in an friendly embrace

Part 5: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC, NCC

 A Series of Articles: 5 of 6 – Attachment Style and Developing Quality Relationships

This series is focused on relationships. Article 5 of 6 focuses on attachment style. Secure attachment, anxious, and avoidant will be explored.  How does your attachment style increase satisfaction and/or increase frustration in your relationships? Your attachment style assists in determining how well you engage in and recover from disagreements, struggles, tolerating frustration, adapting to difficult and unfamiliar situations; including, how you feel during good times, positive times, and the important moments in your life that you desire to be present for.

As a therapist and relationship coach, I work with clients grappling with their attachment style and the contributing discomfort, anxiety, stress, isolation, and relationship issues. Your attachment style and your partner’s attachment style have the probability to motivate behaviors, impact interactions, and increase or decrease issues within your relationship.

Avoidant Attachment

Individuals with avoidant attachment have difficulty connecting emotionally.  For example, if you and/or your partner have an avoidant attachment style there is an increased probability of experiencing difficulty in trusting others; many times, this includes romantic partners.  During uncomfortable and difficult communication, you or your partner may cease communication, deflect from the issues being addressed, or retreat completely feeling confused and frustrated.

In a newer dating situation, a person may cease contact without explanation.  At times, a person in a romantic relationship will feel ‘if only, s/he will let her/his guard down.  It took past relationships to build walls and working to allow one’s guard down is complex and extremely difficult for a person with an avoidant attachment.  At times, the individual is unaware that s/he isn’t connecting; many times, s/he feels the same void you’re feeling, yet, has extreme discomfort in engaging in any level of vulnerability, openness, or trust.  Other times, the person doesn’t connect emotionally and whether on the surface or on a deeper level doesn’t seem to have the desire to connect.

It’s important for a person with avoidant attachment to ask whether s/he feels an issue is present. Then ask if the desire to connect, trust, and to learn to feel safe in sharing exists. Through therapy, you and/or your partner will have the opportunity to develop awareness to the issues that supported the development of an avoidant attachment, how to cope with and lower frequency of runaway cognitions that may not be beneficial in present relationships, and learn new ways to engage towards developing a more secure and mutually connected relationship.

Anxious Attachment

Individuals with an anxious attachment feel more fear and anxiety in relationships.  For example, if there is a disagreement or difficult communication, an individual with an anxious attachment style may continue to discuss the issues, and attempt to increase verbal engagement and communication.  It may feel that you and/or your partner continue the conversation after everything feels discussed- many times over, s/he may still desire to talk further. At times, you or your partner’s motivation is an unconscious attempt to decrease anxiety and increase feelings of safety by engaging.  S/he is attempting to connect. However, this leads to increases in feelings of anxiety and fear, runaway cognitions, ruminations, and decreases feelings of safety for the individual with an anxious attachment, and adds much confusion and frustration for each partner.

At times, an individual with an anxious attachment and an individual with an avoidant attachment will partner in a relationship. There’s potential for increases in frustration, conflict, confusion, and misunderstanding for partners that are an anxious/avoidant combination; this is more so when communication isn’t strong, communication patterns mismatch, and/or are difficult for one or each partner to understand. However, you are able to learn ways to increase communication skills, lower pressure, minimize demands, and lower the potential for emotional lability. In this environment, communication, understanding, and empathy for each partner is vital.  Couples therapy gives opportunity to begin to build awareness to internal feelings and motivations, how you give and receive love, and ways to increase emotional stability and safety.

Secure Attachment

Individuals with a secure attachment feel more security, confidence, actively engaged, and experience stronger feelings of trust in relationships. You and your partner are able to work through difficult and stressful issues with a level of reciprocal communication and responsiveness.  You’ll feel comfort in being authentic and genuine, and in feeling a level of acceptance towards and from your partner.  You and your partner have an increased probability in giving and receiving mutually, support is more easily embraced, and issues with communication are negotiated more successfully. Secure attachment carries into relationships with family and friends, and allows for a minimal preoccupation with being abandoned or with having the desire to create distance.  You’ll have an increased opportunity to develop a mature and long-term relationship with intimacy and the benefits of developing a healthier and more satisfying relationship.  It’s beneficial to allow flexibility, respect, support, and healthy boundaries.  Inevitably, there will continue to be stressors, tolerating frustration, and areas to work towards embracing, accepting, and working on as partners; this is part of being human.  However, working with a therapist to process your issues and develop a secure attachment benefits your romantic relationships and increases the quality of each area of your daily life.

Relationships consist of a combination of attachment styles and behaviors; each combination has the probability to buffer from or exasperate relationship issues and complexity. At times, you may experience more than one attachment style depending on the person you’re with, the type of relationship, length, and seriousness; however, most times, you’ll engage in a dominant style. Environments, genetic predisposition, past relationships, life experiences, and how you feel about yourself support your attachment style.

Temperament and personality impact attachment, communication, perceptions, and how you engage during difficult and positive aspects of life. Developing an understanding and awareness of you as a person and reflecting on where your partner is coming from allows for smoother navigation throughout the relationship.  Additionally, the presence of a fundamental connection and desire from each partner to learn and grow as a couple increases success and long-term satisfaction.  It’s important to be aware if you’re feeling that you’re having a relationship for two or if you’re expectation is for your partner to take on most of the relationship’s work and engagement. With that being said, take time to explore and build awareness to how each person gives in similar and different ways; it’s beneficial to make room for each.

In conclusion, developing awareness and comfort with your issues internally and in relationships is beneficial in working towards developing a secure attachment and increasing the quality of your relationships. Working with a therapist in a strong and supportive therapeutic relationship will assist in setting goals and giving yourself permission to develop a secure and healthy attachment, to develop trust, and heal from past relationship issues. You’ll have the opportunity to develop awareness as to what secure attachment is and is not, setting realistic expectations, reflecting on what works and what doesn’t in your relationship, setting healthy boundaries, and enjoying a relationship where you feel intimacy, connection, and security in a quality relationship.

COMING SOON: article 6 of 6 in the series.

Learn, grow, & enjoy,
Mandi

***

MandiTurk[1]Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.

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Part 2: Engaging Academically and Socially in College and Grad School

A Comprehensive 2 Part Guide: Eleven Areas to Consider to be Successful throughout College and Graduate School

Part 2: Focusing on the Social Engagement

Part two of this comprehensive guide focuses on the social engagement of academic relationships and the long-term growth experienced throughout.  Take a few moments to check out Part 1: Focusing on the Academics.

  1. Some professors will be more interesting than others. Each has a different personality, temperament, level of structure to the course, and teaching style. Whether s/he is funny, boring, or runs around wearing a cape, understand that they’re human and come with their own weird quirks too. With that being said, if you build a solid relationship with a professor, take them again, and if you don’t, consider that you’re only with this person for one semester and move forward from there.
  1. Ask questions! Use your voice – respectfully. At times, individuals will feel nervous talking with professors or had a difficult experience where it felt like the professor didn’t want bothered. Working through the nervousness and asking questions is extremely important. It will help with your academic success long-term! Many questions and the need for clarifications arise in the years of academia. Go directly to your professor. Most will take the time and want to help you. Plus, this assists with increasing your communication skills.
  1. Personal issues occur from time to time. Most are manageable. However there may be times where balancing personal issues and academics is difficult for students. At times, I will recommend finding ways to focus on academics during difficult times.  Yes, the last thing you want to do. Each semester, I talk with and support students contending with personal issues – many professors do. It’s important to balance your commitments with your goals. For example, the probability of success increases by carving out time in an environment where you feel productive. This may be on campus, in the library, at home, and/or a local coffee shop. Reflect on what works for you when you’re experiencing lower stress levels and do your best to apply this in short to moderate segments. Many times, you’ll feel your motivation return and continue making progress.
  1. Anxiety, whether General Anxiety, Social Anxiety, and/or test anxiety with the associated stress of each are experienced by students each semester. It feels extremely consuming and overwhelming for most. At times, even making small changes such as coming prepared to classes and turning in your work on time help minimize anxiety. In addition, practice deep breathing, and work towards building your confidence as a person and academically. It’s important to allow yourself to tolerate discomfort while learning ways to cope with and minimize anxiety, and to remind yourself that you’re in a safe environment. This is an extensive subject and if this is an area you’re struggling with, you’re welcome to contact eTalkTherapy – our therapists will be able to help you work through your anxiety and learn ways to be successful academically and feel confident in the process.
  1. Find a mentor. Most times, as you go through your academic career preparing for the professional world, you’ll meet professors along the way that you’ll remember and reflect on being genuine, approachable, and taking the extra time. At times, you’ll build a professional relationship; especially, if the degree you’re working towards is under the same department as the professor, you may find yourself in a number of her/his courses. They make great mentors. I would recommend asking in a mindful way and if they’re open to it and scheduling allows for it, then you’ll have a fantastic resource (appreciate it).
  1. Remember to have fun! This is an amazing opportunity to unfold more of your identity as a person, to build confidence, and move towards a genuine and authentic self. Enjoy your classes, meeting new people, developing relationships, and learning and growing as a human throughout the entire process.

Please take a few moments and check out Part 1: Focusing on the Academics

Learn, grow, and enjoy,
Mandi

eTalkTherapy - talk with a counselor online

Engaging Academically and Socially in College and Grad School

by Mandi C. Dalicandro-Turk, MSPC

A Comprehensive 2 Part Guide: Eleven Areas to Consider to be Successful throughout College and Graduate School

Part 1: Focusing on the Academics

Whether you’re new to college or returning after many years, it’s important to learn how to engage and to make conscious choices as to what type of student you plan on working towards being throughout your academic career, and couple this with your natural gifts and capacities. This includes being realistic regarding strengths and weaknesses (academically and otherwise). It’s important to simultaneously work on areas of strength and on weakness where the capacities to improve are present, while accepting the limitations of areas that have a low probability of shifting over time.

Additionally, this is a time of learning and growth academically and as a human-being. The more time spent in academia, the more changes you’ll experience as an individual. It’s important to implement changes towards reinforcing what you’re doing well, adjusting what you’re struggling with, and supporting your short-term and long-term goals.

Below are a few areas to build awareness in and reflect on towards supporting your work towards academic success (i.e., GPA, engaging in an academic environment, and in planning and working towards achieving personal goals, including the transition into a professional environment).

  1. Learn how to study. It’s important to consider that professors have different teaching styles and there are reasons for this. Consider the array of curriculum you will have the opportunity to learn in each course and throughout each semester (yes, I said opportunity). For example, if I am teaching an area of the course focusing on research or statistics, it’s important for students to have examples of research studies or formulas available to utilize in practice and application. There are numerous ways to consolidate and retrieve information, which will help you learn the information better.  This assists in setting realistic and beneficial study goals that feel manageable.
  1. Learn how to take notes. This is difficult for some students. For example, if I am teaching students about brain function and genetic factors relating to a particular set of disorders, I’ll give the students an opportunity to see it, hear it, write it, and then there are opportunities to analyze, apply, and study the information to build understanding for exams and towards future curriculum. It’s important to take the information presented and write it in terms you’ll understand and note the examples given, which will help you remember the information after class.
  1. PowerPoint is not everything, this typically goes for textbooks as well. However, it is an important tool utilized in many courses. Writing every word of the PowerPoint down during class tends to create anxiety and at times, is counter intuitive. This increases the potential for issues with focus, missing important and relevant details, and implementing information into your working memory towards short-term memory, and then long-term memory.  Remember, this is part of note taking and learning how to pull important information.  It takes time, practice, and adjusting to new course work each semester.
  1. Complete your papers, presentations, and other coursework on time. Most times, professors know when you’re making up a fake crisis due to a deadline being missed. With that being said, if you’ve procrastinated and are still developing the discipline to complete your work on time be honest. Additionally, if you’re struggling with an area of the curriculum talk with your professor.  S/he will be happy to give you some direction.
  1. What do I call you? Most professors will have a preference of how s/he prefers to be addressed. It’s important to build awareness of the benefits of developing professional relationships with your professors. One way to begin is by noting what your professor requests to be called during the semester. During the course, in the halls, in emails, etc., address your professor in this manner. If s/he requests being addressed as professor, call him or her professor, if s/he requests being addressed as doctor, call her or him doctor, if s/he gives the option of using first names, then choose what you’re most comfortable with. However, I would recommend going with professor until you know for certain and learn the dynamics of the class environment.

Please take a few moments and check out Part 2: Focusing on the Social Engagement

Learn, grow, and enjoy,
Mandi

eTalkTherapy - talk with a counselor online

Part 4: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC

A Series of Articles: 4 of 6 – Ways to Increase Healthy Communication as Part of Developing and Reinforcing Long-Term Relationships.

Consider the following to further increase healthy communication:

  1. Consider the messages you were given throughout life and how each assists and/or hinders in communication. Then reflect on the deeper impact of your quality of life and your relationships. Positive messages support a healthy balance in building quality relationships.  Internal relationship issues that have not been worked through and processed have the propensity to lower quality of life and increase difficulty in developing the relationships and the connections individuals desire.  At times, mental health issues, (i.e., social anxiety, anxiety, depression, and/or trauma) will bring ongoing difficulties to communication and therein, quality of life.  Each of the mentioned factors are important to consider when working to uncover internal difficulties with communication. Many times, seeking out the support of a therapist will assist in overcoming difficulties, minimizing symptoms, and increasing coping capacities towards stronger communications patterns.

 

  1. Consider how others perceive your communication. Through each interaction verbally, using body language, and facial expressions, you are sending and receiving messages. Having a level of awareness of yourself and others is essential to developing healthy communication skills. This minimizes disconnect and increases healthy and productive dialogue. At times, partners in romantic relationships will invest the time into couples therapy to improve communication even if no issues exist. This is a proactive and preventative approach.  Considering the vast time spent together, this increases quality of life long-term.

 

  1. Proactive Listening- how well do you genuinely listen to others? Listening with the intention of hearing first and then articulating your point is essential. Additionally, developing the capacity to listen whether a person is excited, grappling with an issue, or discussing what happened throughout the day is a mindful process. For some, it’s difficult to quiet the mind. There may be underlying mental health issues, anxiety, ruminations, and/or a combination of issues with temperament and personality that would benefit from therapeutic intervention. Many times, once an individual seeks out therapy to develop the behaviors to adapt in an array of environments, symptoms become more manageable, which assists with decreasing layered complex issues in the future that are difficult to address.

 

  1. Humor is essential to life, without it, life lacks fun and is void of a beneficial and unique layer of human complexity. Engaging in humorous manners increases comfort and enjoyment.  Yes, there are vast differences in the types of humor individuals enjoy.  However, humor as a whole is beneficial in an array of situations and environments. For some, it takes time before you’ll have the benefit of seeing one’s humorous side. I use humor in my personal life, with clients, and in the classroom. I enjoy the development of building a genuine rapport with individuals, and developing a cohesive group environment in the classroom.  This assists with the learning process and allows individuals to show facets of who they are as humans and academically, which includes encompassing a level of humor in the process.  It takes comfort, mutual respect, and understanding communication styles to engage in humor. There’s a level of genuineness in humor that is difficult to find in other areas of life.  Coupled with the factors mentioned throughout, humor is a way to reinforce healthy communication and essentially build a deeper connection.

 

  1. Trust and safety are vital and once broken, difficult to repair and rebuild. It’s import for each person to be able to trust one another within each area of the relationship, including individual strengths and weaknesses.  For example, supporting the other through difficult times and vulnerability builds trust and safety. Additionally, feeling a sense of appreciation and pleasure for others during the achievement of goals and when positive aspects of life occur are healthy to the longevity of relationships.  At times, clients grapple with how to engage in communicative behaviors that support giving and/or receiving trust and safety.  There have been times where clients struggle with past relationships where there was a void of positive and supportive communication, manipulation was present, emotional neglect and/or harsh and abusive communication was experienced. Each are a source of pain and evoke self-protective behaviors.  Self-protective behaviors are a way for individuals to cope through pain and trauma.  Through therapy, individuals have the opportunities to begin to heal, learn how to set healthy boundaries, and develop trust in the self and overtime, other individuals- to work towards deeper, more meaningful, and fulfilling relationships.

In addition, it’s beneficial to have relationships where you’re able to share you as a whole human with many facets to unfold and share.  Self-disclosure and sharing personal information is difficult for many, it’s also an important factor in investing in relationships. Each person has a story to tell, and over time, sharing more facets of each person’s story with the other is meaningful to developing intimacy through the elements of self-disclosure, building a strong source of support, and investing in meaningful relationship where trust and safety are present.

Lastly, trust and safety assist in developing the capacities to compromise in healthier ways and with less verbal conflict, increase mutual problem solving, engage in healthy reflective behaviors, and increase intimacy through open communication.

In conclusion, article 3 of 6 and article 4 of 6 in the series encompass the importance of healthy communication as part of developing and reinforcing long-term relationships. Communication is complex, individual to each interaction, at times, difficult, and in the long-term, immensely beneficial. Each area discussed are important aspects of healthy communication. In any relationship, communication is vital to the quality and longevity of a relationship. COMING SOON: article 5 of 6 in the series.

Learn, grow, & enjoy,
Mandi

eTalkTherapy - talk with a counselor online.

Part 3: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC

A Series of Articles: 3 of 6 – How to Increase Healthy Communication

Have you ever experienced someone in life that you connect with and enjoy talking with immensely- on all levels of communication? There are feelings of mutual understanding, it feels natural, safe, supportive, and you find that you’re able to share more and more facets of your being with another human.  It’s a wonderful experience- one of value. Someone that knows the deeper meaning to your life events and experiences, that’s there for you, that you’re there for, makes you laugh, and you’re able to give to genuinely.

The Desire to Connect

Communication stimulates and engages on a cognitive level. It’s important to consider that the desire to connect as a human is natural. Consider how many people you meet within a week, a month, and a year.  How often do you connect in a deep and meaningful level? Many times, clients indicate the level of difficulty in communicating with others and developing deep and meaningful relationships.  An individual’s innate desire to connect taps into one’s internal strength reserves to  work through fears and evoke increases in vulnerability with the goals of moving forward towards healthier communication; which brings the associated benefits of developing satisfying long-term relationships.

Appreciation and Value

In addition, it’s vital to appreciate the individuals you’ve developed strong communication with. Ask the difficult question- do you appreciate and value the relationship(s) you currently have? To assist with your decision, reflect on how each individual relationship has shifted and developed over time.  Consider what expectations you have of the relationship and whether you’re able to give back in similar manners.

Additionally, ask- are you feeling consistently frustrated? This is a difficult environment to engage in. Consider whether or not you are stuck in a cycle of unrealistic expectations. If so, honest reflection in regards to how realistic it is for the relationship to change over time and/or whether or not the relationship will be a beneficial experience long-term is vital.  At times, there is internal work an individual will benefit from in a therapeutic relationship to assist with developing realistic expectations and building awareness of the complexity and differences.

When Life Becomes Significantly Difficult- and it will

Life, at times, becomes stressful, difficult, and perplexing. Healthy communication doesn’t necessarily mean that there is void of conflict or disagreement; especially during stress, grieving, and difficult times.  Consider how individuals engage during the good times and during more difficult times.  This is where having developed a sense of value and appreciation for having strong communicative relationships is beneficial.  During difficult times, many relationships suffer and eventually break down or cease completely.  Most times, with pain, confusion, and many unanswered questions. The more time that passes without directly addressing the issues that break down the relationship, the more difficult it is to return to a sense of balance and satisfaction.  However, there are ways to minimize the damage and pain. With healthy communication, individuals will have a higher probability of increasing the strength and connection through difficult times, which develops a stronger connection, reinforces trust, and commitment.

Strong Connections

At times, a person engages in a relationship built over years with a strong connection. The relationship has deeper meaning, higher investment, and is much more difficult to cease. Moreover, if the relationship is a healthy one, it’s critical to understand the gift of this type of connection throughout life. Consider romantic relationships, family members, friends, professional connections, and/or connections on social media.  It’s important to reflect on how comprehensive and significant this list is. Ask yourself- how many individuals do you feel intimately connected with? Even with the numerous individuals you engage with, there is only a segment that encompasses what individuals innately desire- mutually healthy, strong, consistent, intimate, and beneficial relationships where growth, change, vulnerability, love, and communication are supported and desirable for each person.

Note: Article: 3 of 6 discussed the benefits of increasing healthy communication. Article: 4 of 6 will discuss ways to increase healthy communication as part of developing and reinforcing long-term relationships. Furthermore, Article 4 of 6 focuses on the messages you received in life, how others perceive your communication, proactive listening, humor, trust and safety, compromise, and the risks of being open. The two articles in the series partner with one another to encompass a wider range of elements regarding communication.

In conclusion, communication is vital to each individual experiencing the relationship and to the relationship as a whole. Communication is complex, it involves investment and work to develop a level of vulnerability through tapping into strengths and reducing fears.  Developing quality relationships with healthy communication patterns is vital to mental health, connection, enjoyment, and well-being. Communication increases the capacity for relationships to be mutually satisfying and full of support, caring, positive interactions, and veering well during difficult times. COMING SOON: Article 4 of 6 in the series.

Learn, grow, & enjoy,
Mandi

eTalkTherapy - talk with a counselor online

Part 2: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC

A Series of Articles: 2 of 6 –  How Respect & Appreciation Increase Rewarding Relationships.  

This is the second in a series of 6 articles relating to developing quality relationships.  Developing quality relationships is complex, layered, and many times, grappled with throughout life.  Respect and Appreciation are the focus of today’s article.

Respect is an important factor in each relationship throughout life. First, consider the importance of respect for yourself.  A strong presence of respect centered internally assists with understanding and valuing yourself and others; and dually, with developing quality relationships.  At times, an individual may grapple with respecting one’s self; if this occurs, it’s important to invest time and the work associated with learning ways to develop a high level of respect for one’s self. In addition, this process assists with developing capacities to give respect in each relationship and in a variety of environments.

At times, it is important to consider the differences and many similarities in regards to how each individual gives and receives affirmations of respect and appreciation.  For example, showing appreciation for a partner fixing the vehicle and/or making dinner on a busy evening is an important aspect of daily life.  Therefore, giving your loved one positive verbal affirmations assists in showing respect and appreciation; for others, physical engagement, a hug for example, or an act of encouragement supports this intention.  In each relationship, it’s important to take inventory of your thoughts, feelings, reactions, behaviors, and words; and to ask yourself where the motivation for your words and behaviors are coming from.

Consider the following:

  1. Seek out relationships with a give-give ratio: Having respect for one’s self assists in setting healthy boundaries and seeking out healthy and enjoyable relationships. Consider if you feel supported by and support the other individual. The deeper meaning here is that each person supports the other’s gifts and differences- each person has a different set of gifts in life. Respect and appreciation assist in supporting, nurturing, and balancing values, goals, and the complexities of change throughout; even positive change has the propensity to be difficult without each.
  2. The flexibility to grow as a human-being, with mutual trust, support, respect, and appreciation throughout life’s natural changes: Change is inevitable and extremely difficult for some. For many, this brings an uncomfortable awareness and vulnerability. During times when a person has difficulty with feelings of vulnerability and/or experiencing fear and the unknown, engaging in disrespectful behaviors erode the relationship.  At times, the trust and safety factors an individual desires to feel are diminished over time; which destroys the relationship. Many times, each person is left confused as to what happened. Engaging in a consistent respectful dialogue and behaviors, while showing appreciation during change and stressful times, increases feelings of trust, safety, and love, while strengthening the relationship long-term.
  3. Disappointment, Fear, & Frustration: In a relationship it’s important to refrain from engaging in critical, blameful, and harming behaviors where the probability of pain and isolation is evident. The mentioned behaviors destroy individuals and the relationship as a whole. Each person may experience loneliness, and engage in the relationship while tolerating stress and frustration. There are times however, where difficult transitions may assist in grappling with deeper issues, which has potential to increase awareness, life satisfaction, and create new opportunities moving forward.
  4. Implement a balance of strength: At times, it’s vital to express feelings and emotions even when it’s uncomfortable or difficult. In other situations, a level of graciousness and acceptance is inherently beneficial to the self, the person being engaging with, and to the relationship as a whole. With this, it’s important to ask the difficult question of what is driving the decision to share or avoid sharing. The motivation in itself has the potential to change the outcome of whether to share and in what manners.
  5. Respect and appreciation ‘look’ different for each individual and has shifts throughout the lifespan. Reflect on each relationship; if you’re in a relationship where respect and appreciation are lacking, it’s important to address the issues and move forward from there. Many times, this involves adjustments in how a person approaches her/himself, how each individual approaches the other person, and by learning healthier ways to communicate. Therapy is beneficial to assist with working through current and/or old and outdated behaviors that are void of benefit and hindering to growth and the development towards giving and receiving respect and appreciation.

In conclusion, developing respect and appreciation are part of a complex process of behaviors that work towards increasing the quality of intrapersonal and interpersonal relationships, mutual understanding, support (including during difficult times), and enjoyment.  When coupled with communication, a relationship has the capacity to be mutually satisfying and full of support, caring, and positive interactions. COMING SOON: article 3 of 6 in the series: How to Increase Healthy Communication

Learn, grow, & enjoy,
Mandi